good help Fall 2014 SPECIAL KIDS’ ISSUE How to Keep Young Ones Safe during Sports A Handy Guide to » The History of the OLBH CHILDREN’S FLU CLINIC Kids’ Services | Around Setting an Example of Wellness W e hope you enjoy this special issue of Good Help, dedicated to the health of you and your children. If you are a parent, then I do not have to tell you how important your role is in setting an example for your children. Saying the right things and, more importantly, doing the right things are vital to earning respect and passing along right behaviors. We at OLBH feel that we too must set forth an example for our community. As a healthcare institution, we have a responsibility to not just talk the talk but to walk the walk of wellness. It is one thing to tell others about how to live a healthier, happier life, but it is another to put this in to practice for ourselves. It’s for this reason that I’m proud OLBH has been named a recipient of a 2014 Kentucky Worksite Wellness Award. OLBH was the only worksite in the state of Kentucky to receive a platinum level honor. The criteria for the recognition were based on the Centers for Disease Control (CDC) Worksite Health ScoreCard. The CDC Worksite Health ScoreCard (HSC) is a validated tool designed to help employers assess the extent to which they have implemented evidence-based health promotion interventions in their worksites. Here at OLBH, we have a wellness program of which we can all be proud. Our employees receive free membership to onsite exercise facility Firm Fitness, access to an on-campus walking trail, regular weight loss challenges, health and wellness classes, an annual personal health assessment and other wellness initiatives. OLBH is a smokefree facility that rewards employees for healthy choices by offering financial incentives through the hospital’s health insurance plan. Countless hours have gone into making us a healthier workplace. I am grateful for the hard work and dedication on this endeavor from the Bon Secours Health System, our employees and physicians, the OLBH Board of Directors and the hospital’s administrative and management teams. I am proud of what our health system has been able to accomplish by practicing what we preach in regards to wellness. We have come together in a spirit of wellness to be an example in our community. Won’t you join us? Sincerely, Kevin Halter, CEO, Our Lady of Bellefonte Hospital 2 good help | Fall 2014 OLBH Bicycle Safety Camp 16th Annual a Success OLBH celebrated Bicycle Safety Month with Tri-State Pediatrics, Ashland Cycling Enthusiasts and Boyd County EMS by hosting the 16th annual OLBH Bicycle Safety Camp in May. It was the first year the event took place at Bellefonte Pavilion (2000 Ashland Drive, Russell). Also new to this year’s camp was a beginner’s riding area for young siblings and a free movie shown at the end of the camp. DAISY Award Comes to OLBH OLBH has become a partner for the DAISY Award, an international program that rewards and celebrates the extraordinary clinical skill and compassionate care given by nurses every day. DAISY is an acronym for Diseases Attacking the Immune System. OLBH recognizes a nurse every other month. OLBH awarded its inaugural DAISY Award to Pamela Workman, BSN, RN. Workman is a nurse in OLBH’s Pediatrics Department. She has been an OLBH employee for seven years and a nurse for three. DAISY Award honorees consistently demonstrate excellence through their clinical expertise and extraordinary compassionate care. They are recognized as outstanding role models in the nursing community. The DAISY Award originated Pamela Workman from The DAISY Foundation, formed in BSN, RN 1999 by the family of J. Patrick Barnes who died at age 33 of complications of Idiopathic Thrombocytopenic Purpura. The Foundation, in Barnes’ memory, was established to express gratitude to nurses. For more information, visit daisyfoundation.org. Stay Connected Our Lady of Bellefonte Hospital: Saint Christopher Drive | Ashland, KY 41101 OLBH CareLine: (606) 833-CARE (2273), [email protected] Online: www.olbh.com : www.facebook.com/ourladyofbellefonte : www.twitter.com/OLBHBonSecours : www.youtube.com/OurLadyofBellefonte Annual HeartChase OLBH, KDMC Collaboration The third Ashland HeartChase took place Saturday, June 28, in Ashland’s Central Park and for the first time in the event’s history was a collaborative effort of OLBH and King’s Daughters Medical Center (KDMC). The successful American Heart Association fundraiser offered participants a creative way to contribute to an important cause while having a good time and reinforcing a healthy lifestyle. Ashland HeartChase is a combination of popular television shows such as “Amazing Race” and “Minute to Win It.” The competition took competing teams throughout Ashland where they performed both physical and mental challenges at checkpoints throughout the city. The team from OLBH’s Patient Access Department (pictured below at left) took home the day’s top honors. More than $14,000 was raised at the third Ashland HeartChase to benefit the American Heart Association. For more information, visit www.heartchase.org. The Ashland HeartChase also can be followed on Facebook at www.facebook.com/ashlandheartchase. Introducing Bellefonte Pediatrics Russell Pediatrician Kelli Brown, M.D., FAAP, and pediatric nurse practitioner Alissa Parker, APRN, CPNP, IBCLC, have moved their practice to the new Bellefonte Pediatrics Russell at 1061 Kenwood Drive in Russell, Ky. Dr. Brown and Parker relocated their practice from the former Professional Pediatrics in Russell. Dr. Brown is a graduate of the Marshall University School of Medicine where she also completed an internship and residency. She Kelli Brown, M.D. Alissa Parker PEDIATRICIAN APRN, CPNP, IBCLC recently achieved board certification from the American Board of Pediatrics. Parker is the only primary care provider in the Tri-State who also is a certified lactation consultant (achieved from the International Board of Lactation Consultant Examiners) and Bellefonte Pediatrics Russell is the only pediatrics office in the area that also offers lactation services. Parker earned her master’s degree from the University of Cincinnati and her bachelor’s degree from Marshall University. She is a member of the National Association of Pediatric Nurse Practitioners and the International Lactation Consultant Association. Bellefonte Pediatrics Russell is an affiliate of Bellefonte Physician Services. Both Bellefonte Physician Services and OLBH are members of the Bon Secours Kentucky Health System. Bellefonte Pediatrics Russell is open weekdays 8 a.m. to 5 p.m. To schedule an appointment, call the practice at (606) 833-6750. From left - Peggy Smith, Gail Johnson, Lisa Massey and Kevin Halter NURSES Honored During OLBH’s celebration of National Nurses Week, Gail Johnson was honored with the 11th annual Sister Ruth Ellen James Nursing Excellence Award, OLBH’s nurse of the year honor, while Lisa Massey received the hospital’s sixth annual Outstanding Nurse Leader Award. Nominated by her peers, Johnson, an orthopedic nurse, was selected for her demonstration of clinical excellence. Nominations also reflected an admiration for her abilities, commitment, and professionalism. Johnson has been an OLBH employee since 1973. She is certified by the American Nurses Credentialing Center in medical/surgical nursing. The award is named after Sister Ruth Ellen James, a long-time OLBH nurse known for her caring nature and commitment to the hospital’s mission. Massey serves as the hospital’s director of Service Excellence, Palliative Care and the OLBH Emergency Room. Massey has worked at OLBH for 32 years. She earned her associate’s degree from Marshall University and her bachelor’s degree from Ohio University. Did You Know... ? OLBH will host a pediatric education event free to the public Sept. 20? The public session concerns behavioral issues, while additional sessions are geared to physicians and nurses. To RSVP or for info, call the OLBH CareLine at (606) 833-CARE (2273). Fall 2014 | good help 3 Q&A Ask the Doctor Karem Menezes, M.D., is a pediatrician at Bellefonte Primary Care, Grayson (100 Bellefonte Drive, Grayson, Ky.). The office can be reached at (606) 474-0669. Firm Up! with Holly West Class Instructor at Firm Fitness Cardiovascular disease remains the leading cause of death in Kentucky and poses a significant threat to future generations who practice unhealthy behaviors. The most recent statistics show nearly 80 percent of residents in Boyd and Greenup counties are overweight, while 36 percent are physically inactive and a mere 19 percent eat the daily recommended servings of fruit and vegetables. Firm Fitness has partnered with local health departments in Boyd and Greenup counties to help families increase their fitness levels and improve their overall quality of life. Through the Appalachian Partnership for Positive Living and Eating (A.P.P.L.E.) initiative, local children and families have, in just 18 months, reduced their weight by more than 600 pounds, improved their diets and substantially increased their daily level of activity. The program is a family-focused model to improve health and wellness. The program is offered to children and families through funding from the Astra Zeneca Health Care Foundation. Firm Fitness is dedicated to creating a more health conscious community through education, leadership and motivation. To learn more about the A.P.P.L.E. program or to see if you qualify contact the Ashland-Boyd County Health Department at (606) 329-9444. 4 good help | Fall 2014 Q with Dr. Karem Menezes We’re getting ready to shut down our pool for the season, but I was curious about “near” and “secondary drowning.” I’ve had the kids in the pool all summer long thinking we were being safe, but I’m just now hearing these terms and realizing that as a mom I should know a lot more about it than I do…which is nothing. What is it? What should I be looking for and how do I keep the kids safe from it? – Jeannette – Flatwoods The definition of near drowning is complications for 24 hours or more following the survival from a drowning event which involved impaired consciousness or water inhalation. Secondary drowning is death due to chemical or biological changes in the lungs as fluid builds up, which prevents oxygen from getting to the blood and eventually not being received by the heart, lungs and brain. During a near drowning event, as little as two spoonfuls of water (30 ml) aspirated is enough to fill the bottom of the lungs. When the affected individual lies down the water spreads through the lungs, preventing oxygen exchange and the victim slowly stops breathing. Signs that parents or caregivers should look for are chest or throat pain, persistent cough or wheezings, difficult breathing, extreme tiredness, vomiting, diarrhea and changes in behavior. Anyone who has been in a near-drowning situation should be closely watched for 72 hours. A Each issue, an OLBH physician answers reader questions. Submit questions via email to [email protected] or via mail to OLBH CareLine, Ask a Doctor, Saint Christopher Drive, Ashland, Ky. 41101. Readers whose questions are printed will receive a free gift. Chicken Wrap: Use one eight-inch whole wheat tortilla. Line tortilla with romaine lettuce leaf (1-2 pieces), top with two ounces of white chunk chicken meat and two slices of fresh avocado. (Squeeze a little lime/lemon juice on lettuce to keep it from turning brown.) Roll it all up. Veggies: Pack ½ cup broccoli florets and ½ cup baby carrots with a side of low fat dressing (1-2 tablespoons). Fruits: Combine 1 cup fresh fruit such as strawberry and apple slices. A Little Treat: Create a s’mores mix by combining 1 graham cracker (square broken into pieces), 10 mini marshmallows and two dark chocolate chips. * For older teens/high school students increase the meat to three ounces and the fruit and vegetable serving sizes and add either baked chips or pretzels. Nutrition Facts: Calories:423 Fat: 16 g Saturated Fat: 3g Cholesterol: 49 mg Sodium: 627 mg Carbohydrate: 57 g Fiber: 11 g Protein: 20 g Offering Complete Care for Your Little Ones About OLBH Pediatric Services Nothing is held more dear by a parent than a child. The caring and professional staff at OLBH understands this bond, and that is why the hospital offers a multitude of services and pediatricians whose sole purpose is the care of the hospital’s youngest patients. From information on the hospital’s inpatient children’s services to assistance in picking a pediatrician, save this article for future reference. Inpatient Services OLBH’s Pediatric Department is designed and operated in a way to make every child’s hospital stay as comfortable and worry-free as possible. The healthcare professionals that comprise the department understand parents only trust their children to the best of care. OLBH’s pediatric staff includes board certified pediatricians and experienced nurses, most of whom have obtained their nationally recognized Pediatric Nursing Certification. All of OLBH’s pediatric nurses have achieved Pediatric Advanced Life Support provider status and are trained and experienced in caring for children in all stages of development. The department was specially designed to accommodate the unique needs of pediatric patients and their families. The department’s private rooms are designed for parents to stay comfortably overnight with children. The department also offers video games and child-friendly décor. Pediatric Rehabilitation OLBH Pediatric Rehabilitation, which is located inside the Human Motion Vitality Center on the OLBH campus, offers comprehensive outpatient rehabilitation programs for children. Patients can achieve their highest potential through therapeutic play and structured fun activities. Therapy services are provided in a collaborative, familyfriendly environment using a variety of therapies. Services offered include: •Diagnostic evaluations for children having trouble with the normal developmental process, have identified disabilities, or are experiencing learning problems. •Treatment and referral services for all children •Multidisciplinary assessments •Sensory integration treatments Therapies offered include: •Pediatric Speech Therapy - Speech therapy addresses issues of articulation, verbal expression, comprehension, voice fluency, and feeding and swallowing as these issues relate to functional communication skills and disorders. •Occupational Therapy - The facility’s occupational therapy services focus on the underlying components of development in children for their occupation: play. The occupational therapy staff facilitates independence by addressing motor skill development, handwriting/ education, behavior, activities of daily living (dressing, feeding, etc.) and sensory integration. •Physical Therapy - The pediatric physical therapy services of the facility address issues of gross motor development, muscle tone and strength, posture, gait, neuromuscular function, endurance, and other physical conditions related to mobility and quality of movement. OLBH also can provide pediatric rehabilitation services in a variety of off-campus locations, including schools, daycares and other community sites. Parents should speak to their child’s family doctor or pediatrician for a referral to OLBH’s Pediatric Rehabilitation or contact the facility Monday-Friday from 8 a.m. - 5 p.m. at (606) 833-3527. Finding a Pediatrician Choosing a pediatrician is a big decision for a parent that consists of two primary considerations…convenience and quality. Bellefonte Physician Services (BPS) boasts pediatricians who excel in both areas. All offer conveniently located offices, ensuring quick trips and easy access to appointments. Each pediatric provider provides quality and compassionate care rooted in his/her years of practice and medical training. BPS is OLBH’s sister member under the Bon Secours Kentucky Health System. With both OLBH and BPS under the Bon Secours umbrella, the pediatric patients of any Bon Secours Kentucky Health System facility are afforded a link to the region’s best medical services and specialists. The following are BPS practices that are accepting new patients and are at the top of their field in caring for the youngest patients. Bellefonte Pediatrics Ashland 2028 Winchester Avenue, Ashland (606) 324-7337 Jason Ford, M.D., F.A.A.P. Kristina Rowe, FNP Bellefonte Pediatrics Russell 1061 Kenwood Drive, Russell (606) 833-6750 Kelli Brown, M.D., F.A.A.P. Alissa Parker, APRN, CPNP Bellefonte Primary Care, Grayson 100 Bellefonte Drive, Grayson (606) 474-0669 Karem Menezes, M.D. Maria Sargent, APRN Christ Care Pediatrics 137 St Rt. 3117, South Shore (606) 932-2079 Gregory Hudson, M.D., Steven Keys, M.D., Jerry Iery, PA-C, William Ruggles, N.P. Tri-State Pediatrics Bellefonte Centre, Suite 101 1000 Ashland Drive, Ashland (606) 836-0919 Donna Bolden, M.D., Cheryl Cook, M.D., Pearl Hennan-Hain, D.O., F.A.A.P., Leigh Ann Weinfurtner, PA-C Other pediatricians on-staff at OLBH include A.K. Khanna M.D., F.A.A.P., Margaret Ng-Cadlaon M.D., F.A.A.P., and Chito Ymalay, M.D. For details concerning BPS including insurance information, office hours, directions and more, visit bellefontephysicianservices. org. For more information concerning children’s services at OLBH or for assistance in finding a pediatrician, call the OLBH CareLine at (606) 833-CARE (2273). Fall 2014 | good help 5 Keeping Kids Safe When Playing Sports » 5 Simple guidelines to follow for young athletes Y oung athletes reap many benefits from sports – valuable exercise, countering obesity, making friends, learning teamwork and self-discipline, understanding the intricacies of competition and cooperation, improved emotional health and self-esteem, and many, many more. Children are, however, putting themselves at risk of sports injuries, some of which can cause long-term problems if not handled properly. More than 3.5 million children age 14 and under suffer sports injuries each year, according to the National SAFE KIDS Campaign, most of them requiring treatment in an emergency room, clinic or doctor’s office. Elementary age children are still developing coordination, but they are also smaller and don’t move as fast or as forcefully. As kids grow and gain strength, collisions become more of an issue. Growth patterns vary, so grouping young athletes by age does not adequately take into account big differences in size, strength, coordination and skill. Many injuries occur when children who are small for their age try to keep up with their peers. Even at the same weight, a child with a great deal of body fat is no match for one with a greater proportion of muscle. Parents should look for organized programs that take these differences into account. The bones, muscles, ligaments and tendons of children are still growing, and growth patterns are often uneven, leaving some tissue vulnerable to sprains and strains. The bones of a child contain growth plates, areas of cartilage where growth is taking place. These are relatively weak and particularly vulnerable to injury. Injuries to growth plates are potentially serious and should be treated by a pediatric specialist. Whether in games or practice, young athletes should be watched closely for signs of pain and fatigue. Coaches should be careful not to push young athletes into playing with injuries or over training. In a young person, these injuries are more serious because they can have an effect on bone growth. In addition to excessive training, overuse injuries can be caused by improper technique, poorly selected or worn out athletic shoes, playing the same sport year round or playing multiple sports in the same season. When overuse injuries do not respond promptly to RICE treatment (rest, ice, elevation, compression), the child should be examined by a doctor. (For information on concussions and OLBH’s concussion management program, see the Fall 2012 issue of Good Help.) [ 6 good good help help || Fall Fall 2014 2014 Keep kids safe by following some simple guidelines. Make sure young athletes: [ HAVE THE PROPER GEAR ] Most sports require standard protective gear, and it’s important for parents and coaches to ensure that the right helmet, mouth guards, eye protection and pads are used. Make sure it’s the right helmet for the sport and that it fits snugly and comfortably. [ HAVE PROPER PLAYING SURFACES ] Playing surfaces should be well maintained. For example, stones on a baseball infield can cause bad hops into the fielder’s face while holes or divots in a soccer field can lead to a sprained ankle. [ KNOW AND FOLLOW THE RULES ] Many rules exist for the protection of the athletes. Children should know the rules of the sport and be instructed to follow them. [ WARM UP ] before getting into vigorous activity and cool down afterward with proper stretches to maintain flexibility. [ STAY COOL AND DRINK PLENTY OF WATER ] Children perspire less than adults, and sweating starts at a higher body temperature. Be wary of the signs of heat exhaustion (nausea, dizziness, weakness, headache, pale and moist skin, heavy sweating, weak pulse, disorientation) and of heat stroke (dizziness, confusion, and skin that is hot and dry). Heat-related injuries are dangerous and often occur because of a deficit in body fluids. Be sure young athletes have access to water and sports drinks. At the OLBH Human Motion Vitality Center, certified strength and conditioning specialists and physical therapists have combined their disciplines to create the ultimate sports performance enhancement program. Athletes from all sports and of all ages and abilities rely on the Human Motion Sports Performance Enhancement Program to improve their skills. The enhancement program allows athletes to reach their optimal performance level while learning techniques for injury prevention. The program is available year round to all athletes seven years of age and older. Keeping young athletes safe simply requires some common sense. The benefits kids receive from participating in sports far outweigh the risks. Fortunately, OLBH provides parents and coaches with the tools to build a better athlete, rehab sports injuries and to prevent such injuries before they even have a chance to occur. For more information regarding the Human Motion Sports Performance Enhancement Program or to schedule an appointment, call (606) 833-3517. ] Get the Shot, Not the Flu … Children’s Flu Clinic Leaves Legacy of Healthy Kids C heryl Cook, M.D., has a passion for protecting children from the flu that goes beyond just her responsibilities as a long-time pediatrician in the Ashland area. For Dr. Cook, her interest is personal and was present before she decided to become a physician. Dr. Cook’s grandmother was only two when her mother died during the flu epidemic of 1918. “What happened with my greatgrandmother is why I’m such a big proponent of flu vaccines and one of the reasons I wanted to start the OLBH Children’s Flu Clinic,” Dr. Cook said. The upcoming clinic, scheduled for October, is the eighth year of the popular event which aims to protect area children during flu season, whether they are mild or of the historic variety such as the one that took the life of Dr. Cook’s greatgrandmother. The 1918 epidemic was one of the largest natural disasters in human history and involved the H1N1 influenza virus that has made a comeback in recent years. More than 500 million people across the world became infected and an estimated 50 to 100 million of them died. At the time, such numbers amounted to three to five percent of the world’s population wiped out by the flu. While no epidemic is forecasted, Dr. Cook warned that such a tragedy could still happen today. “It’s one of the reasons why we all need to stay prepared and vaccinate ourselves and our loved ones,” she said. When Dr. Cook and her partners and staff at Tri-State Pediatrics conducted the first OLBH Children’s Flu Clinic in 2006, it was the area’s first child-specific clinic. Today, it is still the area’s only children’s flu clinic, with nearly 5,000 vaccinations provided during the event’s history. “The first clinic was really successful,” Dr. Cook said. “We do anywhere from 300 to 700 vaccinations each year and the first clinic went like clockwork so we’ve really not had to change much of anything through the years.” The one thing that has changed is the technology. “We like to stay ahead of the curve when it comes to the science,” Dr. Cook said. One advance incorporated into the clinic throughout the years includes FluMist, which allows the needleaverse to inhale the vaccine. “Another big breakthrough for us came when they invented Pain Eze, which allows us to numb the child prior to vaccination,” Dr. Cook said. “It made a big difference in tears.” This year’s clinic will be the second that offers Flucelvax, an alternative vaccine for those individuals who cannot take the standard vaccine due to an egg allergy. The vaccine was a breakthrough when it was introduced in 2007. The original concept behind the children’s clinic was to allow parents and caregivers the opportunity to have their children vaccinated in a “well” environment as opposed to a doctor’s office where other children may be sick. “It is efficient and takes less than 10 minutes,” Dr. Cook explained. What is the flu? The flu is an upper respiratory viral infection with symptoms similar to those of the common cold but much more severe. Whereas cold symptoms may come on gradually, the flu is likely to hit hard on the first day-with fevers, chills, headache and a generalized achy feeling that makes a sufferer want to go to bed. Like a cold, the flu is viral rather than bacterial and, as a result, cannot be treated with antibiotics. Certain antiviral medications can be used to decrease the severity of the flu, but it’s still a battle that requires patience and it is better to prevent than to battle. Why get the flu vaccine? Flu vaccine is recommended for children ages six months to 18 years regardless of whether a child has other chronic conditions. Influenza can lead to various types of pneumonia. It can aggravate heart problems or other chronic diseases. In a normal year, and this may not be a normal year, the flu kills approximately 36,000 Americans and sends more than 226,000 to the hospital. Flu vaccines are 70 to 80 percent effective in preventing influenza. According to the Centers for Disease Control, the best time to receive a flu Top: FluMist allows for vaccination without needles. Bottom: Cheryl Cook, M.D., at the first OLBH Children’s Flu Clinic in 2006. vaccination is October or November. “We always have the clinic before the onset of the flu season so that our kids are prepared,” Dr. Cook said. “We preach ‘flu vaccine around Halloween’ to make it easier for everyone to remember. We also stress that you can’t catch the flu from the flu vaccine. This is a common myth.” Once again this year, all the physicians of Tri-State Pediatrics, the office staff and volunteers from OLBH will give their time to offer this service. “It’s worth it,” Dr. Cook said. “Through the years we’ve been able to watch so many of these kids grow up. Some of them came in frightened their first year and now they receive their vaccine like it’s nothing. It’s been really wonderful to see these children and our clinic grow.” The clinic is open to all area children and the cost of the vaccination is $20 for the traditional vaccine and $25 for FluMist. For more information, including this year’s dates, call the OLBH CareLine at (606) 833-CARE (2273). Fall 2014 | good help 7 Ironton Wheelersburg It’s the weekend. Is your child sick? Pediatrician’s office closed? We’re here for you! Roland Benton, MD Bryan Fuller, MD Ironton 1005 East Ring Road (740) 533-3950 Zach Underwood, DO Carrie Murrell, PA Wheelersburg 8991 Ohio River Road (740) 981-3356 OPEN 7 DAYS A WEEK Mon. - Fri. 8 a.m. - 8 p.m., Sat. - Sun. 9 a.m. - 5 p.m.
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